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Enliven Therapeutics' Pioneering SOHO 2025 Presentations: New Frontiers in Hematology

overcoming cml resistance with enable trial

08/26/2025

With early findings from the ENABLE Phase 1a/1b trial presented at SOHO 2025, Enliven Therapeutics reports preliminary signals that may help address treatment resistance in chronic myeloid leukemia.

Enliven Therapeutics' early-stage investigation unfolds as the ENABLE Phase 1a/1b trial advances targeted leukemia therapy exploration. Within current CML care—anchored by guideline-recommended TKIs—unmet needs persist in resistance (including T315I) and intolerance; ELVN-001 is being explored for these gaps.

Building on that context, Enliven’s ELVN-001 is a selective BCR-ABL1 inhibitor under early evaluation for activity against resistance mutations, potentially including T315I. That focus on resistance matters because patients who develop intolerance or mutations may cycle through multiple TKIs; ELVN-001 is being studied to evaluate whether it can offer an additional option where current choices are limited.

Turning to early data, analysis highlights early signals focusing on safety, pharmacokinetics, and preliminary responses, as reflected in the SOHO 2025 presentations, while comprehensive efficacy analyses are ongoing.

That early-phase emphasis is important because dosing, tolerability, and pharmacokinetics help define whether a candidate is suitable for later-phase trials, where comparative efficacy can be rigorously assessed.

Aiming to address persistent challenges in CML management, Enliven’s approach aligns with the broader shift toward precision-targeted therapies.

The broader industry context also matters: new agents are being evaluated to mitigate resistance and intolerance, but definitive practice changes require mature, comparative data from randomized studies.

Their work underscores broader momentum in precision oncology to overcome resistance and intolerance—a theme echoed across hematologic oncology without implying definitive change from early-phase data.

Key Takeaways:

  • ENABLE is an early-phase investigation of ELVN-001, designed to assess safety, dose optimization, pharmacokinetics, and preliminary responses.
  • ELVN-001 is a selective BCR-ABL1 inhibitor under evaluation for activity against resistance mutations, potentially including T315I.
  • Unmet needs persist in CML for patients with resistance or intolerance to guideline-recommended TKIs; ELVN-001 is being explored to help address these gaps.
  • Definitive efficacy conclusions await later-phase, comparative studies; current signals are preliminary and hypothesis-generating.

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